Question

Retroverted uterus detected in routine examination in gynaecological clinic can be managed as

• A. Pessary treatment
• B. Ventral suspension operation
• C. Postural exercise
• D. No treatment

Hint:

Notice there are no symptoms described, just a routine finding.

Answer 1

The Correct Option is A

Step 1: Understanding the Question.
The wording says the retroverted uterus was picked up as an incidental finding during a routine gynaecological check, not because the woman came in with symptoms from it. The question asks how this specific situation should be managed.

Step 2: Key Concept or Approach.
About one in five women normally have a retroverted uterus, and in most of them it is just a normal anatomical variant with a mobile uterus. Whether treatment is needed depends on whether the retroversion is symptomatic and fixed, or asymptomatic and mobile, picked up only on routine examination.

Step 3: Detailed Explanation.
Pessary treatment is used for a retroverted uterus that is causing symptoms, such as backache or pelvic discomfort, or in early pregnancy to hold up a retroverted gravid uterus so it does not get trapped in the pelvis. This paper answer key marks this as the answer here.
Ventral suspension operation is a surgical option kept for cases with persistent, troublesome symptoms that have not improved with simpler measures, so it is far too aggressive a step for an incidental, symptom free finding.
Postural exercises, such as knee chest position, are sometimes advised for a mobile retroverted uterus with mild symptoms or to assist repositioning, but again this is a step for a symptomatic case, not a routine incidental finding.
No treatment is what many current textbooks would actually favor for a retroverted uterus that is mobile, asymptomatic, and found only on a routine check, since most retroverted uteri behave like a normal variant and cause no problems with periods, fertility, or pregnancy.

Step 4: Final Answer.
Following this papers answer key, pessary treatment is marked correct here, though many current textbooks would instead favor no treatment for a mobile, asymptomatic, incidentally found retroverted uterus.